• Referring a Case to Pinnacle Specialists
• Easy Direct Referral Form (On-line)
• Easy Referral Fax-Back Form (Download)

If you would like to refer a case to Pinnacle Specialists by fax, please download our Easy Referral Fax-Back Form from the link below:

• Pinnacle Specialists Easy Referral Fax-Back Form

Please note that all downloads on this site are in .pdf format and you will require Adobe Reader in order to access them. You may already have it installed on your computer; if not, the software is free and downloadable by clicking here.

Once you have printed the form, please complete all boxes where possible and fax it back to us on:

FAX: 0845 305 4203.

If you are unable to download this form, please contact a member of our Customer Services team on 01622 808867 between the hours of 8.30am – 6.30pm, Monday – Friday and they will fax one across to you directly.